ASIA Scoring Flashcards Preview

711 Adult Neurological Rehab > ASIA Scoring > Flashcards

Flashcards in ASIA Scoring Deck (18)
Loading flashcards...
1
Q

The ASIA examination looks at what 6 things?

A
Sensory level
Motor level
Neurological level of injury (NLI)
Complete vs. Incomplete injury
Sacral sparing
Zone of Partial Preservation (complete injuries
2
Q

How many key dermatomes are tested in the Sensory Level of the ASIA examination?

A

28

3
Q

List out the 3 point sensory scale and what each number represents for the scoring.

A
0 = absent
1 = impaired
2 = normal 
NT = not tested
4
Q

What sensory tract looks at light touch?

A

Dorsal Columns

5
Q

What sensory tract looks at sharp/dull

A

Spinothalamic tracts

6
Q

If the patient is “feeling” PP but is unable to differentiate sharp and dull. The patient is simply sensing what and what is absent?

A

Simply sensing pressure and PP sensation is absent.

Spinothalamic Tract is absent

7
Q

For the ASIA examination the sensory level is defined as what?

A

The level where sensory is normal on both sides of the body.

8
Q

What is the lowest level that determines normal sensory function on both sides of the body?

A

The lowest level where you have “2’s” with all the above levels being “2’s”

9
Q

What is the sequence in which the motor examination is preformed?

A

Rostral to Caudal

10
Q

What position is the patient in when the motor examination is being tested?

A

Supine

11
Q

List out the 6 point motor scale and what each number represents for scoring purposes.

A
0 = absent
1 = Muscle twitch
2 = Full active ROM with gravity eliminated
3 = Full active ROM against gravity
4 = Able to generate some resistance
5 = Normal strength
12
Q

Where is the level of normal motor function scored?

A

The level at which strength is at least 3/5 with all levels above being 5/5.

13
Q

ASIA Impairment Scale: A

A

Complete. No sensory or motor function is preserved in sacral segment S4-5

14
Q

ASIA impairment Scale: B

A

Sensory Incomplete. Sensory but no motor function is preserved below the neurologic level and extends through sacral segments S4-5

15
Q

ASIA impairment Scale: C

A

Motor incomplete: motor function is preserved below the neurologic level, and most key muscles below the neurologic level have a muscle grade less than 3

16
Q

ASIA impairment Scale: D

A

Motor incomplete. Motor function is preserved below the neurologic level and most key muscles below neurologic level have muscle grade greater than or equal to 3

17
Q

ASIA Impairment Scale: E

A

Normal: sensory and motor functions are normal

18
Q

How many muscle groups are part of the motor examination?

A

10 key muscle groups